Organization Active NPI

Stephen F. Scholle MD PA

  • Urgent Care Clinic/Center
  • Fort Myers Beach, FL
National Provider Identifier
1366653081
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME0033695 Issued in FL
Legal business name
STEPHEN F. SCHOLLE MD PA
Doing business as
beach family medical clinic
Practice address
1661 Estero Blvd Ste 1
Fort Myers Beach, FL 33931-2846
Phone
(239) 765-0007
Fax
(239) 765-0247
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen F Scholle, MD
Title
President
Phone
(239) 765-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME0033695 FL Primary

Addresses

Primary practice location

1661 Estero Blvd Ste 1
Fort Myers Beach, FL 33931-2846

Mailing address

PO Box 6970
Fort Myers Beach, FL 33932-6970
Phone (239) 765-0007

Other identifiers 1

IdentifierTypeStateIssuer
90071995OtherFLMEDICARE RAIL ROAD

Other names 1

  • beach family medical clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1661 Estero Blvd
Ft Myers Bch, FL 33931
Phone (239) 765-0007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1366653081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6970",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339326970",
            "telephone_number": "239-765-0007",
            "fax_number": "239-765-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 ESTERO BLVD STE 1",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339312846",
            "telephone_number": "239-765-0007",
            "fax_number": "239-765-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F. SCHOLLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SCHOLLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-765-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME0033695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "90071995",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "beach family medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.